● Pain Medicine ●
Executive discipline for pain management practices
Interventional pain lives at the intersection of high-value procedures, heavy prior-authorization friction, and intense regulatory scrutiny. The practices that win manage all three deliberately — with real operating structure behind the clinical work.
Sound Familiar?
High revenue per case, high friction per case
Prior auth as a bottleneck
Every delayed authorization is a delayed procedure, an idle block, and a frustrated referrer. Most practices treat auth as clerical work instead of the revenue-critical operation it is.
Compliance exposure everywhere
Documentation standards, medication management protocols, UDS policies, and payer audits — pain medicine draws more scrutiny than almost any specialty, and informal processes eventually get expensive.
Referral concentration risk
When two or three referring groups drive most of your volume, one retirement or one hospital acquisition can reshape your entire year.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your pain management practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside pain practices
Operational infrastructure for a specialty where the margin is high, the friction is higher, and the audit risk never sleeps.
■ Procedure mix & block utilization
Case-mix economics by procedure and site of service, plus fluoro/OR block utilization tracked like the scarce asset it is.
■ Prior authorization operations
Dedicated auth workflows, payer-specific playbooks, and pipeline visibility so procedures schedule on clinical timelines, not payer timelines.
■ Compliance program build-out
Documentation standards, medication agreements, UDS protocols, and audit-readiness — structured like an OIG-style compliance program, scaled to practice size.
■ Site-of-service strategy
Office vs. ASC vs. HOPD economics, ownership opportunities, and the financial modeling behind adding procedure-room capacity.
■ Referral development
Systematic referrer relations — response-time standards, outcome reporting back to referrers, and diversification beyond the top three sources.
■ Revenue cycle for procedures
Coding accuracy for interventional work, denial patterns by payer, and AR discipline on high-dollar claims where single denials matter.
“A pain practice’s schedule is a supply chain: referrals in, authorizations through, procedures out. Manage it like one.”
Questions
Frequently asked questions
How can a pain management practice speed up prior authorizations?
What compliance areas matter most for pain practices?
Should my pain practice add an ASC or stay office-based?
Can you help diversify our referral base?
The Pain Management briefing series
Five sourced, data-driven reports on the business of running a pain management practice.
Pain management ancillary services: urine drug testing compliance and billing, in-office imaging economics, behavioral health integration.
Controlled substance compliance for pain management practices: DEA registration, PDMP requirements, prescribing program design.
How to manage prior authorization for interventional pain: Medicare Advantage denial trends, LCD requirements.
How site of service affects pain management revenue: 2026 Medicare ASC and physician fee schedule rates for epidurals, facet injections, and RFA.
How to staff and schedule an interventional pain practice for throughput: procedure room utilization, advanced practice provider models.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation